go back

Alaska rates for HCPCS 81403

Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.30 / $806.55 / $2,140.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.41 / $620.41 / $1,190.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.62 / $511.62 / $511.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.20 / $887.20 / $887.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $185.20 / $596.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.20 / $685.24 / $740.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.68 / $416.70 / $416.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.62 / $685.24 / $887.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.68 / $509.30 / $509.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $558.79 / $558.79